Light of Mine Pediatric Speech, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

LIGHT OF MINE PEDIATRIC SPEECH, LLC

Practice address

328 Taylor Ave
Falls Creek, PA 15840-9642

Phone

(814) 771-5865

NPI assigned

Jan 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meghan ShillingNPI 1366095259

Title

Speech Language Pathologist

Phone

(814) 771-5865

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meghan Shilling, MS, CCC-SLP/L

  • Speech-Language Pathologist
  • Falls Creek, PA
  • NPI 1366095259
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1396516951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 TAYLOR AVE",
            "city": "FALLS CREEK",
            "state": "PA",
            "postal_code": "158409642",
            "telephone_number": "814-771-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 TAYLOR AVE",
            "city": "FALLS CREEK",
            "state": "PA",
            "postal_code": "158409642",
            "telephone_number": "814-771-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF MINE PEDIATRIC SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SHILLING",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "814-771-5865"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Falls Creek, PA
• Providers in Falls Creek, PA by specialty
• Hearing and Speech Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.